Organization
BRENILDA MENDOZA
Active
Other names
Brenilda Mendoza
Organization subpart
No
Provider details
NPI number
Authorized official
BRENILDA LUZ MENDOZA COTA (LICENSE)
(407) 747-4288
Entity
Organization
Contact information
Practice address
628 GAZELLE DR, KISSIMMEE, FL 34759-4208
(407) 747-4288
Mailing address
628 GAZELLE DR, KISSIMMEE, FL 34759-4208
(407) 747-4288
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13972
FL
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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